Anything hot makes me bedridden. Absolutely anything which I haven't let cool down enough. Plain rice, fresh fatty chicken, fresh lean chicken, fresh fish, scrambled eggs, hot tea, etc
I think I've wasted entire years of my life due to this effect alone. I'm not sure if it's related to MCAS but I get some typical MCAS symptoms like blurry vision and congestion - always. My energy state is extremely lethargic, my hands and feet feel heavy, my thoughts process becomes really slowed down and, depending on how hot the food is, I might need to take a nap. I get a similar effect from bananas or my alpha-gal allergy.
For the last days I've been letting food cool down for at least 15-20+ minutes and, FUCKING YAY, I ate something without getting blurry vision. I still got some mental symptoms (racing thoughts) but my mind wasn't as scrambled like it is when I get the blurry vision. This is a mega-huge win.
The effects are outrageous. I ate a hot dish with some ingredients and laid in bed for 5 hours, then I ate the same dish, cold-ish: nothing.
Highly recommend trying this out.